| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION STREET SUITE 1501 SEATTLE, WA 98101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $234K | — | $234K | 7.78% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 100878852 | DELTA DENTAL OF WASHINGTON | $39K | — | $39K | 1.84% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC. | $19K | — | $19K | 2.78% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATIONAL INSURNACE | 601 UNION ST STE 1501 SEATTLE, WA 981011363 | PACIFIC LIFE INSURANCE COMPANY | $43K | — | $43K | 10.70% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $2K | — | $2K | 0.64% |
| WILLIS TOWERS WATSON US LLC3 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $5K | $182 | $5K | 1.70% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 3.13% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $3K | — | $3K | 1.00% |
| PILLAR INTERNATIONAL INSURANCE ADVI3 | 7 HANOVER SQUARE NEW YORK, NY 100042616 | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | $77K | — | $77K | 27.66% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST #900 M FINANCIAL PLAZA PORTLAND, OR 97209 | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 4.32% |
| M HOLDINGS SECURITIES INC.3 | 1125 NW COUCH STREET, STE 900 ATTN COMMISSIONS DEPT PORTLAND, OR 972094129 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 2.38% |
| WILLIAM BEAR3 | 12 GEORGETOWN CT ALGONQUIN, IL 601026284 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 1.26% |
| RODNEY BENCH3 | 601 UNION STREET, SUITE 1000 SEATTLE, WA 981014064 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 1.05% |
| LPL FINANCIAL CORP3 | 4707 EXECUTIVE DR ATTN CLIENT COMPENSATION DEPARTMENT SAN DIEGO, CA 921213091 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 0.79% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION STREET, SUITE 1501 SEATTLE, WA 98101 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 4.06% |
| LIFESTYLE INSURANCE SVCS INC3 Filed as: LIFESTYLE INSURANCE SERVICES,(MGA) | 27811 GOLDEN RIDGE LANE SAN JUAN CAPISTRANO, CA 92675 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 1.99% |
| KAREN A DACEK3 | 7784 HANSEN RD NE BAINBRIDGE ISLAND, WA 98110 | METROPOLITAN LIFE INSURANCE COMPANY | $356 | — | $356 | 0.19% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION ST STE 1501 SEATTLE, WA 98101 | TRANSAMERICA LIFE INSURANCE COMPANY | $16K | — | $16K | 9.22% |
| LIFESTYLE INSURANCE SVCS INC3 | 30270 RANCHO VIEJO RD SUITE B SAN JUAN CAPISTRANO, CA 92675 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.21% |
| NEWMAN FINANCIAL SERVICES LLC3 | 6636 CEDAR AVE S STE 100 SAN JUAN CAPISTRANO, CA 92675 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 0.65% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO | 601 UNION STREET SUITE 1000 SEATTLE, WA 98101 | TRANSAMERICA LIFE INSURANCE COMPANY | $162 | — | $162 | 0.10% |
| ECA FINANCIAL SERVICES INC3 Filed as: ECA FINANCIAL SERVICES INC. | 10105 E VIA LINDA #103-300 SCOTTSDALE, AZ 85258 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 15.38% |
| WILLIS TOWERS WATSON US LLC4 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | FOUR EVER LIFE INSURANCE CO. | $1K | — | $1K | 2.00% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATIONAL | 601 UNION STREET SUITE 1501 SEATTLE, WA 98101 | EXCEPTIONAL RISK ADVISORS | $7K | — | $7K | 15.00% |
| DOUGLAS LENHOFF & ASSOCIATES3 | 8100 SW NYBERG STREET STE 220 TUALATIN, OR 97062 | EXCEPTIONAL RISK ADVISORS | $5K | — | $5K | 10.00% |
| M FINANCIAL HOLDINGS INC3 Filed as: M. FINANCIAL | 1125 NW COUCH STREET SUITE 900 PORTLAND, OR 97290 | EXCEPTIONAL RISK ADVISORS | $824 | — | $824 | 1.80% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION STREET STE 1501 SEATTLE, WA 981011363 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 7.77% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | PO BOX 62949 VIRGINIA BCH, VA 234662949 | PRINCIPAL LIFE INSURANCE COMPANY | $124 | — | $124 | 0.28% |
| JOHN KELLEY3 | 4061 POWDER MILL RD STE 700 VIRGINIA BCH, VA 234662949 | PRINCIPAL LIFE INSURANCE COMPANY | $112 | — | $112 | 0.25% |
| HIGHLAND CAPITAL BROKERAGE INC3 Filed as: HIGHLAND CAPITAL BROKERAGE | 3535 GRANDVIEW PKWY STE 600 BIRMINGHAM, AL 352431936 | PRINCIPAL LIFE INSURANCE COMPANY | $29 | — | $29 | 0.06% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATIONAL INSURANCE | 601 UNION ST STE 1501 SEATTLE, WA 981011363 | PACIFIC LIFE INSURANCE COMPANY | $5K | — | $5K | 11.70% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION STREET SUITE 1501 SEATTLE, WA 98101 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $552 | — | $552 | 2.41% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION ST SUITE 1501 SEATTLE, WA 98101 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $400 | — | $400 | 5.00% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $361 | $361 | 4.51% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $64 | $64 | 0.80% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION ST SUITE 1501 SEATTLE, WA 98101 | TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY | $740 | — | $740 | 13.00% |
| LIFESTYLE INSURANCE SVCS INC3 | 30270 RANCHO VIEJO RD SUITE B SAN JUAN CAPISTRANO, CA 92675 | TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY | $114 | — | $114 | 2.00% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,555 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,572 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 105 | $1.7M |
| Dental | DELTA DENTAL OF WASHINGTON | 4,068 | $2.1M |
| Vision | VISION SERVICE PLAN | 1,615 | $296K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,359 | $3.3M |
| Long-term disability(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,359 | $3.1M |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 105 | $1.7M |
| Stop-loss / reinsurancereinsurance | COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY | 5,670 | $1.9M |
| Other(12 contracts, 11 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,489 | $4.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,670 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.